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Individual

DR. KEITH W. MARCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
909 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1443
(765) 463-6262
(765) 463-9122
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
01038745
IN
207Q00000X
Family Medicine Physician
Primary
01038745A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100232870
IN
Enumeration date
07/24/2006
Last updated
06/09/2023
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